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Your next career move matters. We invite you to explore open positions at UP Health System–Portage, which is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® and creating places where employees want to work. Whether you’re an experienced professional or just beginning your career, you’ll find opportunities to use your skills and expertise.

Utilization Review RN

Hancock, Michigan

Req ID 7459-4115 Post Date Oct. 10, 2024 CategoryAdministrative FacilityUP Health System - Portage
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At UP Health System - Portage, providing an excellent patient experience is at the heart of everything we do. This includes not only providing the highest quality patient care, but offering exemplary customer service by creating an environment that puts our patients at ease. We accomplish this by embodying a patient-centric culture while supporting positivity and the growth of our employees both professionally and personally.


We are seeking a detail-oriented Utilization Review Registered Nurse to be responsible for prior authorizations for the Inpatient Unit, Labor and Delivery, and outpatient testing along with determining medical necessity of patient while hospitalized.  Our Utilization Review RN will be part of an excellent team of Case Management RN’s. As a Utilization Review RN you will work in multiple electronic medical records/computer programs and with insurance companies.


Required Skills:
• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.
• Works independently with proven organizational skills and attention to detail.
• Must be able to prioritize multiple tasks and exercise sound judgment.
• Demonstrates proficiency in verbal and written communication skills.
• Excellent interpersonal skills and the ability to interact effectively and professionally with individuals at all levels; both internal and external.

Position Requirements:
Associate's Degree in Nursing required
Bachelor of Science in Nursing degree preferred
State of Michigan RN license required
Nursing experience required
Case management or utilization experience preferred
Basic Life Support (BLS) required (available upon hire)
Annual influenza vaccination or declination required

Position Details:
0.6 FTE (part-time, 24 hours per week)
Work daily, Monday - Friday
Day shift


Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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